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Psoriasis ointment: a review of hormonal and non-hormonal agents

Psoriasis is a systemic chronic pathology in which plaques, nodules and rashes appear on the skin.

The disease accompanies a person all his life, occasionally reminding himself of exacerbations. It is difficult to cure it completely, so therapy is aimed at stopping and alleviating the symptoms.

To eliminate the symptoms, a complex of remedies is used - creams, pastes, medicinal baths, patches, sprays, compresses, vitamins, immunosuppressants and other medicines.

Psoriasis ointments in pharmacies are presented in a variety. They are needed to soften the skin, eliminate itching, inflammation, peeling and redness, and their varieties and features you will learn from this article.

Content

Types of ointments and principle of action

Psoriasis ointment

. In the treatment of psoriasis, two types of ointments are used - hormonal and non-hormonal . The first quickly reduce the manifestation of the disease, and this is their dignity.

But at the expense of active action, a variety of side effects and habituation to such means, they should be used only as directed by the doctor.

Hormone-containing ointments for psoriasis are divided into classes according to the degree of activity:

  • I - weak (with hydrocortisone and prednisone) - inhibit the growth of connective tissue in the affected area, relieve minor inflammation and itching, acceptable for sensitive skin areas (groin, neck). The maximum course allowed is 2-3 months.
  • II - medium strength (with flumethasone or flucortolone) - are shown if the previous type of ointment has no effect, the principle of action is anti-exudative, anti-inflammatory.
  • III - strong activity (with fluocinolone, triamcinolone) - give a quick effect with pronounced symptoms of psoriasis, but have many contraindications and a high risk of developing secondary infection and tissue atrophy;
  • IV very strong - with clobetasol (Dermoveit) - penetrate as deeply as possible, are appointed only in extreme cases with the ineffectiveness of other means and a course of no longer than 3 weeks.

The higher the activity and effectiveness of the ointment with glucocorticosteroids, the more addictive and the risk of developing complications after discontinuation of the drug.

Non-hormonal external agents have a softening, antiseptic, keratolytic effect on psoriatic plaques. They help the cornified and flaky skin to go dry faster, reduce inflammation.

These drugs do not give such a rapid effect as hormonal drugs, but they are much safer, and they begin treatment with them.

Non-hormonal ointments include several types:

  • indifferent (salicylic, zinc, boric);
  • with tar;
  • oil preparations;
  • homeopathic;
  • vitamin;
  • naphthalan;
  • with grease.

Hormonal psoriasis ointment

Hormonal psoriasis ointment

Ointment with hormones are used if other options do not bring results, and require caution in the application.

They are addictive, and over time for the effect you have to increase the dosage, and this leads to the development of side effects from both the skin and internal organs (endocrine glands, kidneys, liver, heart and blood vessels), because the components of the ointment can get into the general bloodstream .

Abrupt withdrawal of the drug is often accompanied by a "rollback" - the return of symptoms.

Hormonal ointment for psoriasis is applied in a thin layer with strict adherence to the instructions and recommendations of the doctor. It is necessary to finish the course of treatment gradually - first reducing the dose, then diluting the product with simple baby cream or petroleum jelly and, finally, increasing the intervals between application.

The following are groups of glucocorticosteroid ointments for the active substance.

Hormonal component Names of ointments
Side effects

Hydrocortisone

Corteid, Hydrocortisone ointment , Lacort, Hyoxyzone, Duckacort, Sibicort, Oxicort, Fucidin

Skin: the appearance of hypo-and hyperpigmentation, small hemorrhages, stretch marks, thinning of the epidermis.

Systemic effects occur with prolonged use: these are disorders in the production of pituitary hormones, water-salt and carbohydrate metabolism,
reduced immunity.

Flumethasone

Lokasalen, Ultralan, Lokakorten, Flunolon, Lorinden, Sinaflan, Sinoderm, Sinalar, Flutsinar, Flukort

Mometasone

Avekort, Gistan N, Uniderm, Silkaren, Monovo, Nasonex, Skinlight, Moderderm


Triamcinolone

Kenalog, Polkortolon, Ftoderm, Nazacort, Kenacort, Ftorocort, Triacort

Eczema, irritation on the skin, itching. With prolonged use - the risk of atrophy and secondary infection of the skin.

Betamethasone

Betasalik, Kuterid, Floisteron, Betnovayt, Vipsogal, Akriderm, Betacortal, Diprogent

Burning, dry skin, dermatitis, atrophic changes, secondary infections, prickly heat, systemic disorders.

Clobetasol

Skin cap, Powercourt, Cloveit, King of the skin, Dermoveit

It is impossible to apply longer than 5 days, otherwise atrophy, expansion and weakening of blood vessels, systemic phenomena develop.

Chinese hormone ointment king of skin

King of skin

An example of a strong remedy with clobetasol is the Chinese King of Skin psoriasis ointment.

It quickly softens plaques and dry scales, helps to remove them, reduces inflammation and has an antibacterial effect.

When applied slightly cools, eliminates itching. In addition to clobetasol, this ointment includes ketoconazole, extracts of Ayurvedic herbs (neem, kapari kachari, tulsi, naked licorice), extract of sandalwood, turmeric, and talc.

Excess dosages are dangerous for the skin and the functioning of internal organs, including the endocrine glands.

Non-hormonal products

Ointments containing no hormonal substances are prescribed first. Their use does not have a pronounced negative effect, as is the case with corticosteroids.

  • Salicylic

Lubricate the skin with this ointment 2-3 times a day for 3 weeks. In the presence of extensive foci of psoriasis, salicylic ointment is applied in a mixture with petroleum jelly 1: 2 and at intervals of 1–2 days.

The product disinfects, removes irritation, and salicylic-zinc paste is used to combat skin scaling.

  • Zinc

Ointment with zinc oxide dries, protects the skin from bacteria, reduces inflammation. Zinc ointment should be applied with a thin layer on dry and clean skin 3-6 times during the day.

Course - 1 month.

  • Grease with grease

Names of drugs:

· Antispor (Ivanov ointment);
· Kartalin;
· Magnispor;
· Acrustal;
· Cytospor.

Solid oil is a product of the combination of mineral oil with calcium salts. In combination with plant extracts and other components, it effectively treats the manifestations of psoriasis.

For example, Kartalin ointment is popular; it contains vitamins A and D, honey, lysozyme, lavender and eucalyptus oil, extracts of the train, chamomile and salicylic acid.

In the first days of use, a slight exacerbation of the disease (itching, rash) is possible, which then passes and the skin gradually clears. The course is 2-4 months. It is important to keep the product on the skin for 12 hours, and for the time of treatment remove fatty, spicy foods and alcohol from the diet.

Ivanov ointment is applied after a shower or bath at night every 3 days for 1-4 weeks until the plaques disappear completely and flake off.

Non-hormonal products

  • Ointment with tar

They deal with pronounced manifestations when other non-hormonal emollients do not give effect. In pharmacies there are many ready-made ointments with tar psoriasis:

· Antisporin;
· Alfozil-lotion;
· Forest fluid;
· Anthramine ointment;
· Colloidin;
· Berestin.

They cleanse and restore the normal structure of the upper layers of the skin, reduce itching, protect against bacteria and viruses. Tar ointments can cause irritation of the epidermis, they can not be used for problems with the kidneys and exudative psoriasis.

It is acceptable to combine with hormonal creams, zinc and salicylic paste. In the course of treatment with tar ointment, avoid open sun and ultraviolet lamps and do not apply the product to sensitive skin areas (face, neck).

You can prepare tar ointment for psoriasis and at home. To do this, mix 50 g of birch tar and 7 g of propolis to a uniform consistency. It should be applied once a day in the evenings, the course of treatment is 1-2 months. In the morning, you can lubricate the plaques with another ointment.

  • Vitamin

In relation to psoriasis, derivatives of vitamin A (retinol) and D are effective. Based on them, various ointments and creams have been created:

· Tazaroten;
· Aekol;
· Video test;
· Calcitrol.

Ointment with tazaroten (Zorak, Tazorak) is used for two to three months, lubricating the pockets of psoriasis once a day in the evenings with a thin layer. After that, the same time interval in treatment is needed.

Means Aekol with beta-carotene, tocopherol, vitamin A and soybean oil heals wounds, normalizes the nutrition of tissues.

You can not simultaneously use two or more drugs with retinol, and from the side effects of such ointments may irritate the skin. It can be reduced with the help of external means with vitamin D - they need to be applied twice a day.

  • Homeopathic

Copes well with psoriatic plaques Psoriaten ointment. The extract of Magonia sub-stem in its composition removes desquamation and softens dry foci on the skin, reduces the activity of inflammation and itching.

The tool can be used to relieve symptoms, and in order to prevent exacerbations, combined with other drugs.

Other homeopathic ointments for psoriasis: Calendula, Esculus, Beauty, Bagulnik, Rus.

  • Naftalan

Oil preparations are effective for the treatment of psoriasis - they have an anti-inflammatory, analgesic effect and eliminate itching. Examples of external products: Nefesan, Naftalan ointment.

They are combined with exposure to ultrasound and ultraviolet radiation, for example, a good option is physiotherapy with naphthalan applications. The course of treatment is 10-15 days.

Side effects are possible itching, furunculosis, redness, they pass to the end of treatment. But ointments with petroleum products can not be used for anemia, weak blood vessels and kidney disease.

  • Mustard

The most famous are Antipsoriaticum and Psoriasin. Mustard ointments are toxic, therefore they are prescribed extremely rarely and in minimal dosages. The skin is smeared once a day for 5 days, then 1 day of rest is needed and the course is repeated another 3-4 times.

As a rule, pigmentation occurs on the skin during treatment, it disappears 7–20 days after its completion.

Conclusion

Conclusion Hormone-containing ointments act faster, do not stain clothes, do not have a sharp smell. But they cannot be called harmless because of the dangerous side effects.

They are indicated for severe forms of psoriasis, if non-hormonal ointments do not work, and should be used only by a dermatologist’s prescription.

The fight against exacerbations often requires an integrated approach - in addition to external agents, antidepressants, immunomodulators, drugs to improve metabolism, and physiotherapy are prescribed.

For successful treatment, it is important to work together with a doctor who will select not only an effective ointment for psoriasis, but also the best treatment option, depending on the type, cause and severity of the disease.

Interesting
Olga
2016-11-19 08:19:51
For successful treatment of psoriasis, it is very important to “jump off” the hormonal ointments in time and switch to non-hormonal ones. For example, after exiting the acute phase, Naftaderm has an effective effect. It is based on Naftalan oil. It is important that it does not give side effects and is not addictive.
Alina
2016-11-21 17:29:24
Naftaderm moisturizes? Or does it have a different meaning?
Olga
2016-11-22 18:09:21
Naftaderm just does not moisturize, but even dries a bit. But it has very important properties: it is an anti-inflammatory or disinfecting drug. In addition, relieves and relieves itching.

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